Likely Democratic presidential nominee Joe Biden has proposed a major new initiative to encourage state Medicaid programs to expand home and community-based care for low-income older adults and younger people with disabilities. While the proposal is ambitious, it addresses the long-term care needs of the Medicaid population in an especially complicated way. It still leaves huge gaps in Medicaid-based care [...]
The way we care for older adults in the US is, self-evidently, not working. In just the past three months, at least 44,000 residents and staff of nursing homes and other long-term care facilities have died from COVID-19. Hundreds of thousands have been sickened. And millions have been isolated from family and friends for months. Yet, this crisis did not [...]
The Centers for Medicare and Medicaid Services (CMS) appears to be preparing to allow nursing homes to open their doors to families and other visitors, despite the COVID-19 pandemic. If not done carefully, this would be folly, and could put residents, staff, and families at risk. The new rules, which still are under consideration, would reverse March 16 CMS guidance [...]
With great fanfare, President Trump announced yesterday that his administration would deliver about two weeks’ worth of masks to nursing homes by the Fourth of July . And he’d stand up a commission to study quality and safety in nursing homes. All just in time to celebrate May as “Older Americans Month.” The masks apparently are going only to nursing [...]
The headlines are eye-opening: On Friday, the Kaiser Family Foundation reported that, as of as of April 23, there were more than 10,000 reported deaths from COVID-19 in long-term care facilities—in just the 23 states that publicly report this information. That may be shocking. But it should not be surprising. COVID-19 has exposed and amplified our profoundly flawed system of [...]
The Trump Administration has finally said it would require nursing homes to report cases of COVID-19 to the Centers for Disease Control and Prevention (CDC) and, eventually, to families of residents. The move is welcome, but it is far too little and, for many families, far too late. On Friday, The New York Times reported that more than 36,500 residents [...]
Nursing homes and other senior living facilities are not the only places where COVID-19 is creating a health care crisis for frail older adults and their care providers. The other setting at risk: private homes, where the vast majority of older adults get both personal and post-acute care. And the pandemic is creating enormous challenges for those seniors, their families, [...]
The coronavirus pandemic is a nightmare for nursing homes, their staffs, residents, and their families. While we know much less about them, the situation is likely similar for Assisted Living Facilities (ALFs) and other residential care for older adults. As of March 30, more than 400 of 15,000 US nursing facilities had an outbreak of coronavirus—among residents, staff or both-- [...]
The coronavirus pandemic and the fast-moving federal response to it is upending long-standing rules and practices for caring for older adults. Some changes will be incredibly disruptive, while others may increase support for vulnerable seniors. Here are some of the ways they are affecting how we care for our parents. No more nursing home visits. Just a week ago, the [...]
Most major Democratic presidential hopefuls have proposed new government assistance for those receiving long-term supports and services and their families. Mayor Pete Buttigieg has proposed public catastrophic long-term care insurance. Senators Elizabeth Warren and Bernie Sanders would make home-based care a Medicare for All benefit. And former vice president Joe Biden and Sen. Amy Klobuchar would create new tax credits [...]